Avera Mckennan Hospital and University Health Center is a nonprofit short-term acute care hospital in Sioux Falls, South Dakota. Its CMS Certification Number (CCN) is 430016 and its NPI is 1568460772.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Sioux Falls, SD
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. South Dakota hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $282$282–$443 · 7 rates | 49th percentile · state median $290, mean $272 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $396$332–$610 · 21 rates | 40th percentile · state median $470, mean $461 |
| MRI, brain, with and without contrast | 70553 | $441$408–$680 · 21 rates | 36th percentile · state median $556, mean $522 |
| Colonoscopy, diagnostic | 45378 | $514$290–$926 · 21 rates | 51st percentile · state median $514, mean $619 |
See UnitedHealthcare rates for every billing code at Avera Mckennan Hospital and University Health Center
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
4 out of 5 stars
1 better6 no different0 worsethan national
2 better6 no different0 worsethan national
2 better6 no different1 worsethan national
Units Medicare certifies separately, each with its own CCN.
Psychiatric unit
Avera Mckennan Behavioral Health Services
CCN 43S016
Rehabilitation unit
Avera Mckennan Hospital and University Health Center
CCN 43T016
Same legal entity in Medicare, or billing insurers under the same tax ID.
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Sioux Falls Specialty Hospital, LLP
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Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Avera Mckennan Hospital and University Health Center.
Avera Mckennan Hospital and University Health Center's CMS Certification Number (CCN) is 430016. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Avera Mckennan Hospital and University Health Center bills under National Provider Identifier (NPI) 1568460772.
Avera Mckennan Hospital and University Health Center bills insurers under tax ID (EIN) 46-0224743, held by AVERA MCKENNAN. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Avera Mckennan Hospital and University Health Center is enrolled in Medicare as a short-term acute care hospital with nonprofit ownership. Its legal business name is Avera Mckennan.
Avera Mckennan Hospital and University Health Center is at 1325 S Cliff Ave, Sioux Falls, SD 57105.
Avera Mckennan Hospital and University Health Center has a CMS overall star rating of 4 out of 5. CMS bases the rating on mortality, safety, readmission, patient experience and timely care measures.
Yes. Avera Mckennan Hospital and University Health Center reports emergency services to CMS.
Yes. Avera Mckennan Hospital and University Health Center has 2 Medicare-certified units: psychiatric unit, rehabilitation unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.